Information to the ATON Lodge and Order for membership application is held in the strictest of confidence.At the moment we are structuring our online and offline tutorials and
workshops.Our presentation pages will soon be up and running on this site,and you may use the Info Form or we can utilize snail mail. Cut,Copy and Paste this Form then print it out to snail mail to the ATON Lodge and Order...Please fill it
out completely...in completed forms will not be reviewed in any way.

Full Name:_________________________________________________________________________

Home Address:____________________________________________________________________
________________________________________________________________________________

Drivers Lic. #. or Personal ID #:_______________________

Your Present Age:______ Marital Status: ( )Married ( )Single

Business Address:_________________________________________________________________

If a student, state your
major:_______________________________________________

Phone (Work):_____________________ (Home): ______________________

Fax/Modem:__________________ E-Mail Address:____________________

Please include all
birth information requested in order to receive a natal chart upon membership.

Birth Date:____/____/19____ Time:___:___ a.m. p.m. (circle one)

Birth Place:______________________________________________________

How did you
find out about the Order? ________________________________________________________________________________ ________________________________________________________________________________
________________________________________________________________________________

Do you have a magickal background? If so, explain:________________________________________________________________________________
________________________________________________________________________________ ________________________________________________________________________________

Have you ever been arrested, taken into custody, pleaded guilty or nolo contendre to, or been convicted of a criminal offense(other than a minor traffic
violation)? (Please note that having a conviction will not exclude you from being considered for thisorganization.) ( )Yes / ( )No

Have you ever been
treated for any psychological disorders? ( )Yes / ( )No

If you work or are a student, please list hours and days of availability. ________________________________________________________________________________
________________________________________________________________________________

Do you believe in a Supreme Creator of the universe and a future existence? ( )Yes / ( )No

If you are accepted by this Order, will you adhere to
all rules and regulations of the Order? ( )Yes / ( )No

Have you read all the questions contained in this application carefully? ( )Yes / ( )No

As a condition of and in consideration of my being considered for membership in the ATON Lodge and Order, I do hereby authorizethe Magisters of the Order to conduct any investigation necessary. I further understand that this procedure
may entail the contactingof persons, either known or unknown to me, and that I waive all rights and remedies which may be extended to me under presentor future laws in connection with or relating to this procedure. I further agree to hold
harmless and free from liability the Aton Lodge and Order Oasis, its members, and persons referred to above from all legal proceedings, rights, and remedies which may otherwise beavailable to me under current or future laws.

I hereby certify that I have read and fully understand the foregoing statement.